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� . " CITY OF ORONO * 2 0 1 3 - 0 PJ 4 4 4 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 06/04/2013 <br /> ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 2640 NORTH SHORE DR <br /> PIN : 09-117-23-13-0009 <br /> LEGAL DESC : COLWELL ADDN <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : PLUMBING(>$500) <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : FIXTURES-MULTIPLE <br /> NOTE: PLUMBING FIXTURES: <br /> (1)EACH -WATER CLOSET,LAVATORY,KITCHEN SINK,SILLCOCK,LAUNDRY TRAY AND WATER HEATER <br /> VALUATION OF PLUMBING 5800 <br /> APPLICANT PLUMBING FIXTURE FEE 72.50 <br /> SIGNATURE MECHANICAL INC. STATE SURCHARGE PLBG(VALUATION) 2.90 <br /> 8260 ARTHUR STREET NE <br /> SUITE A TOTAL 75.40 <br /> SPRING LAKE PARK,MN 55432- PAID WITH CC# 0300 <br /> (763)788-9844 <br /> OWNER <br /> HODDER,KENT H&JUDITH B <br /> 2640 NORTH SHORE DR <br /> ,MN 55391- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be perfortned according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires sepazate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become nult and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time aRer work has commenced. <br /> The applicant is responsible for assuring all required inspections aze <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at y time for cause. <br /> / / "�" � (�/ / /!� <br /> pp i t Permitee Signature Date Issu By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />